Charlotte S Clark

NPI #1295219822 in Jefferson, Texas

Provider Information

NPI Number
1295219822
Entity Type
Individual
Name
Charlotte S Clark
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Licensed Vocational Nurse
Enumeration Date
Sep 19, 2018
Last Updated
Sep 19, 2018

Practice Location

Address
120 N WALNUT ST
State
Texas
ZIP Code
75657-1934
Phone
(903) 665-6131

Specialties & Taxonomy Codes

Specialty
Licensed Vocational Nurse

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